Holbrook, Andrea Rae
Holbrook, Andrea Rae is an sole proprietor health care provider with primary practice located at 227 E Sanilac Rd , Sandusky MI 48471-1160. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Holbrook, Andrea Rae can be contacted via phone (810) 648-0330.Contact Information
Primary practice address
227 E Sanilac Rd
Sandusky MI 48471-1160
Phone: (810) 648-0330
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 53063 | Michigan |
Profile Details
NPI number | 1275778672 |
---|---|
LBN Legal business name | Holbrook, Andrea Rae |
Credentials | C.T.R.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2008 |
Last updated | Jan 23rd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275778672 | NPPES |
Michigan | MEDICAID | 1275778672 | |
Michigan | Other | 1275778672 |
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